Active NPI
Latoya Jeaneen Perry, M.D.
- Gynecologic Oncology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 01083188A
- Practice address
- 615 N Michigan St
South Bend, IN 46601-1087 - Phone
- (574) 647-1100
- Fax
- (574) 647-3148
- NPI assigned
- Jan 29, 2008
- Last updated
- Jul 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01083188A | IN | |
| Gynecologic Oncology Physician | 207VX0201X | 01083188A | IN | Primary |
Addresses
Primary practice location
615 N Michigan St
South Bend, IN 46601-1087
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Other practice location 1
621 Memorial Dr Ste 100
South Bend, IN 46601-1063
Phone (574) 647-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300033075 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ljperry@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Navarre PL
4470 BMG Womens Surgical GYN/Onc at MRCC
South Bend, IN 46601-1168
Phone (574) 647-4230
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
- Franciscan Health Michigan City
- Saint Joseph Regional Medical Center - Plymouth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of the uterus | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Gynecologic Oncology | Current | Accepting new patients |
Locations
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
900 I St
Laporte, IN 46350
Phone (219) 324-1670
100 Navarre Pl
Ste 4470
South Bend, IN 46601
Phone (574) 647-1300
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100
621 Memorial Dr
Ste 100
South Bend, IN 46601
Phone (574) 647-1100
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
Interoperability endpoints
- ljperry@mybeacon.cernerdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group Oncology Elkhart
- Radiation Oncology Physician
- South Bend, IN
- NPI 1770775009
-
dba BMG Women's Surgical GYN/Onc @ MRCC
- Gynecologic Oncology Physician
- South Bend, IN
- NPI 1821482431
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1629255880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011087",
"telephone_number": "574-647-1100",
"fax_number": "574-647-3148"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr Ste 100",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011063",
"country_code": "US",
"telephone_number": "574-647-1100",
"fax_number": "574-647-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "LATOYA",
"middle_name": "JEANEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01083188A",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "IN",
"license": "01083188A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300033075",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ljperry@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Navarre Pl Ste 4470",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.